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� PERMIT APPLICATION.) <br /> 11121 <br /> BUILDING'�IECHANICAL I PLUMBING / SIGNRINKLER / DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:6500 Merrill Creek Pky PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Washington Holdings TENANT BUSINESS NAME(Commercial): Avtech <br /> OWNER MAILING ADDRESS: STREET600 University Street,Suite 2820 <br /> ci-- Seattle STATE WA ZIP 98101 <br /> OWNER PHONE: 2066135300 OWNER EMAIL: <br /> CONTRACTOR NAME:Hermanson Company <br /> CONTRACTOR ADDRESS: STREET 1221 2nd Ave N <br /> CITY STATE STATE WA ZIP <br /> 98032 <br /> CONTRACTOR PHONE:206-575-9700 CONTRACTOR EMAIL:klange@hermanson.com <br /> CONTRACTOR LICENSE#(REQUIRED):HERMACLOO5BJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 37262 <br /> PRIMARY CONTACT: ❑OWNER ❑ CONTRACTOR 0 OTHER(Please Specify) Kim Lange <br /> CONTACT NAME: CONTACT PHONE:206-573-2023 <br /> Kim Lange ,CONTACT EMAIL:klange@hermanson.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Work:$298442 <br /> Proposed Use of Building: Heat Source: DGas ❑Electric DOther <br /> BUILDING USE: USER ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑✓Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Provide and install (9) 20 ton RTUs I SGreQ,nw^ <br /> 9 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> List of Fixtures <br /> Fixture Fixture Fixture Fixture <br /> ount List of Fixtures Count List of Fixtures Count Count List of Fixtures <br /> NC Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/ SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System No.of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br /> current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> \/-6V.� PE #6 ,°k o4 i— 4g <br /> Owner/Auth ' ed Agent gnature Date (Revised 10/10/2018) <br /> Z <br />